REQUEST AN APPOINTMENT Contact us today to scheduleCall 702-362-3900 or fill out the form below.If this is an Emergency Referral please contact our office at 702-362-3900.First NameLast NameEmail PhoneTime : Hours Minutes AMPM Date MM slash DD slash YYYY Appointment Type*: Cataract Exam Carpal Tunnel Trigger Finger Hand Injury Hand Pain Car Accidents Work Related Pain Trauma Carpal Tunnel Syndrome OtherHow Did You Hear About Us? TV RADIO NEWSPAPER ONLINE OTHERSelect oneReferring DoctorDo you have a referring doctor, such as an optometrist, ophthalmologist, primary care doctors? (It's ok if you don't. We just want to include them in your care).Attach Patient's Any File (Optional)Max. file size: 20 MB.File type: docx, pdf, jpeg, jpg or png. Max file size: 20MB If your file is a different type please change the type or contact 702-362-3900.
